| NPI | 1033649207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 10629) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-06-16 |